| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 EAST GRAND AVE SUITE 11 PORT WASHINGTON, WI 53074 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | — | $11K | 10.00% |
| MGIS3 | 95 S STATE STREET, SUITE 650 SALT LAKE CITY, UT 841111630 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $45 | $45 | 0.04% |
| WISCONSIN MEDICAL SOCIETY INS3 Filed as: WISCONSIN MEDICAL SOCIETY | PO BOX 1109 MADISON, WI 537010000 | DELTA DENTAL OF WISCONSIN | $9K | — | $9K | 10.01% |
| ANSAY & ASSOCIATES LLC3 | 2901 W BELTLINE HWY SUITE 202 MADISON, WI 53713 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 19.48% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVE SUITE 11 PORT WASHINGTON, WI 53074 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 10.00% |
| MGIS3 | 95 S STATE STREET, SUITE 650 SALT LAKE CITY, UT 841111630 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $45 | $45 | 0.14% |
| ANSAY & ASSOCIATES LLC3 Filed as: ANSAY & ASSOCIATES, LLC | 101 EAST GRAND AVENUE SUITE 11 PORT WASHINGTON, WI 53074 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 20.00% |
| MGIS3 | 95 S STATE STREET, SUITE 650 SALT LAKE CITY, UT 841111630 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $45 | $45 | 0.19% |
| ANSAY & ASSOCIATES LLC3 | 101 E GRAND AVE, STE 11 PORT WASHINGTON, WI 53074 | NATIONAL VISION ADMINISTRATORS, L.L.C. | $1K | — | $1K | 10.00% |
| ANSAY & ASSOCIATES LLC3 | 101 EAST GRAND AVENUE SUITE 11 PORT WASHINGTON, WI 53074 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 10.00% |
| MGIS3 | 95 S STATE STREET, SUITE 650 SALT LAKE CITY, UT 841111630 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $45 | $45 | 0.41% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WISCONSIN | 94 | $90K |
| Vision | NATIONAL VISION ADMINISTRATORS, L.L.C. | 191 | $12K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 145 | $11K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 88 | $110K |
| Other(4 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 196 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.